EAGLE LAKE FAMILY DENTISTRY, P.A.
NPI 1528138948
Dentist - General Practice in Eagle Lake, MN

Q: What is Eagle Lake Family Dentistry, P.A.'s NPI number?

The NPI number for Eagle Lake Family Dentistry, P.A. is 1528138948. It was assigned to this organization in the NPPES registry on November 9, 2006.

Q: What is Eagle Lake Family Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 09, 2006

104 PLAINVIEW STREET, BOX 97, EAGLE LAKE, MN 56024(507) 257-3800(507) 257-3456 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Eagle Lake Family Dentistry, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE LAKE FAMILY DENTISTRY, P.A. (NPI 1528138948) is a healthcare organization registered as a general practice in Eagle Lake, Minnesota and active in the NPI registry since November 2006. The organization lists Bradley Allan Holmberg, President, as its authorized official.

NPPES Registry Identity

NPI1528138948

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameEAGLE LAKE FAMILY DENTISTRY, P.A.

Location Address104 PLAINVIEW STREET, BOX 97Eagle Lake, MN 56024

Mailing Address104 Plainview Street, Box 97Eagle Lake, MN 56024 · (507) 257-3800 · Fax (507) 257-3456

Phone(507) 257-3800

Fax(507) 257-3456

Organization SubpartNo

Authorized OfficialBradley Allan HolmbergPresident · (507) 257-3800

Enumeration DateNovember 9, 2006

Last NPPES UpdateFebruary 9, 2016

✔ NPI 1528138948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

104 PLAINVIEW STREET, Eagle Lake, MN 56024

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY ALLAN HOLMBERG BS, DDS

Dentist (General Practice)

104 PLAINVIEW STREET
EAGLE LAKE, MN 56024

Blue Earth County (507) 257-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Lake Family Dentistry, P.A.'s NPI number?

The NPI number for Eagle Lake Family Dentistry, P.A. is 1528138948. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Eagle Lake Family Dentistry, P.A. located?

Eagle Lake Family Dentistry, P.A. is located at 104 Plainview Street Box 97, Eagle Lake, MN 56024. The listed phone number is (507) 257-3800.

What is Eagle Lake Family Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eagle Lake Family Dentistry, P.A. was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.